Hypocalcemic tetany and metabolic alkalosis in a dialysis patient: An unusual event

American Journal of Kidney Diseases

Volumn 30, Issue 3, 1997, Pages 440-444

  Kaye, M ^a   Somerville, P J ^a   Lowe, G ^a   Ketis, M ^a   Schneider, W ^a  

^a Division of Nephrology   (Canada)

Author keywords

Bicarbonate; Hemodialysis; Ionized calcium; Metabolic alkalosis; Parathyroidectomy; Tetany

Indexed keywords

ADULT; ARTICLE; CALCIUM BLOOD LEVEL; CASE REPORT; DATA ANALYSIS; DIALYSATE; HUMAN; HYPERPARATHYROIDISM; KIDNEY FAILURE; MALE; METABOLIC ALKALOSIS; PATIENT CARE; RECURRENT DISEASE; TETANY;

EID: 0030880868     PISSN: 02726386     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0272-6386(97)90292-4     Document Type: Article

References (22)

1. McMillan DE Freeman RB The milk alkali syndrome: A study of the acute disorder with comments on the development of the chronic condition Medicine 44 1965 485 501
2. Abreo K Adlakha A Kilpatrick S Flanagan R Webb W Shakamuri S The milk-alkali syndrome Arch Intern Med 153 1993 1005 1010
3. Orwoll ES The milk-alkali syndrome: Current concepts Ann Intern Med 97 1982 242 248
4. 3 loading and dietary calcium deprivation on plasma 1,25-Dihydroxyvitamin D concentrations in healthy adults J Clin Endocrinol Metab 48 1979 1008 1016
5. Rama BN Varghese J Genova G Kumar S Severe acute metabolic alkalosis Nebraska Med J June 1993 151 154
6. Quintanilla A Singer I Metabolic alkalosis in the patient with uremia Am J Kidney Dis 17 1991 591 595
7. Kelleher SP Schulman G Severe metabolic alkalosis complicating regional citrate hemodialysis Am J Kidney Dis 9 1987 235 236
8. Muldowney WP Mazbar S Rolaids-yogurt syndrome: A 1990s version of milk-alkali syndrome Am J Kidney Dis 27 1996 270 272
9. Kenamond TG Graves JW Lempert KD Moss AH Whittier FC Severe recurrent alkalemia in a patient undergoing continuous cyclic peritoneal dialysis Am J Med 81 1986 548 550
10. Davenport A Worth DP Will EJ Hypochloraemic alkalosis after high-flux continuous haemofiltration and continuous arteriovenous haemofiltration with dialysis Lancet March 19, 1988
11. Blank MJ Lew SQ Hypoventilation in a dialysis patient with severe metabolic alkalosis: Treatment by hemodialysis Blood Purif 9 1991 109 113
12. Shikora SA Driscoll DF Bistrian BR Metabolic alkalosis in a patient with renal failure: Role of antacids Nutr Rev 48 1990 247 250
13. Pedersen KO Protein-bound calcium in human serum: Quantitative examination of binding and its variables by a molecular binding model and clinical chemical implications for measurement of ionized calcium Scand J Clin Lab Invest 30 1972 321 329
14. Pedersen KO Binding of calcium to serum albumin Scand J Clin Lab Invest 29 1972 75 83
15. Pedersen KO Binding of calcium to serum albumin Scand J Clin Lab Invest 28 1971 459 469
16. Katz S Klotz IM Interactions of calcium with serum albumin Arch Biochem Biophys 44 1953 351 361
17. Hughes WS Aurbach GD Sharp ME Marx SJ The effect of the bicarbonate anion on serum ionized calcium concentration in vitro J Lab Clin Med 103 1984 93 103
18. Kaye M Barber E Vasilevsky M Langer K Calcium-free dialyzate: Development and applications Clin Nephrol 31 1989 132 138
19. 3) in the rat Am J Physiol Soc 257 1989 E578 E582
20. Bushinky DA Metabolic alkalosis decreased bone calcium efflux by suppressing osteoclasts and stimulating osteoblasts Am J Physiol Soc 271 1996 F216 F222
21. Gerhardt RE Koethe JD Glickman JD Adu Ntoso K Hugo JP Wolf CJ Acid dialysate correction of metabolic alkalosis in renal failure Am J Kidney Dis 25 1995 343 345
22. Kaye M Fischer D Changes in intact parathyroid hormone levels during hemodialysis following exposure to either differing dialyzate calcium concentrations or calcium-free dialysis with varying calcium infusion rates Clin Nephrol 34 1990 84